person
Mrs. Marcia Lee Benedict Grassmueck, LPC
Professional Counselor in Portland, Oregon
NPI 1437348562

Marcia Lee Benedict Grassmueck is a Professional Counselor based in Portland, OR and is specialized in Professional. Marcia Lee Benedict Grassmueck practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Marcia Lee Benedict Grassmueck is 1437348562 and holds a License No. C0635 (Oregon).

The current practice location address for Marcia Lee Benedict Grassmueck is 12636 Se Stark St, Portland, OR and can be reached out via phone at 503-253-4600 and via fax at 503-253-4609.

Location: 12636 Se Stark St, Portland, OR, 97282-0819
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Provider Profile Details
NPI Number
1437348562
Provider Name
Marcia Lee Benedict Grassmueck
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
12636 Se Stark St, Portland, OR, 97282-0819
Phone Number
503-253-4600
Fax Number
503-253-4609
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164936 01 OK GROUP MEDICAID
0000WDBCH 01 OR GROUP MEDICARE
institution
Provider Business Practice Location Address Details
Address
12636 Se Stark St
City
State
Zip
97233-1058
Phone Number
503-253-4600
Fax Number
503-253-4609
person
Provider Business Mailing Address Details
Address
12636 Se Stark St
City
State
Zip
97233-1058
Phone Number
503-253-4600
Fax Number
503-253-4609
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C0635 (Oregon)
Definition
Definition to come...
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